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Practice Revenue

May 29, 2009
by Vince Ciotti and Bob Alcaro
| Reprints
Healthy growth in practice management systems and ambulatory EMRs

Physician Practice vendors have grown to over $2B in total revenue last year, and the EMR feeding frenzy has led to far more automation of the thinner and simpler paper charts in physician offices. Indeed, there are really two sub-markets within this group:

Practice Management Systems - (does anyone know of an acronym that won't bring giggles from the ladies?) which traditionally include:

  • Scheduling

  • Registration

  • Patient billing and AR

Ambulatory EMRs - the same electronic medical record that has become hospitals' holy grail of late, with:

  • Patient history and physicals

  • Test results from reference labs or internal instruments

  • Physician notes and progress reports

Almost all of the vendors listed here offer both a PMS and EMR, with the selling emphasis on the EMR piece in these days of ARRA. Interestingly, many HIS vendors also offer physician practice systems, although all but one are interfaced systems that were developed/acquired independently from their main HIS product.

Physician Practice Management Vendors



1. Allscripts-Misys Healthcare Solutions, Inc.


2. Sage


3. HealthPort, Inc


4. NextGen Healthcare/Quality Systems, Inc.


5. Spheris


6. athenahealth, Inc.


7. MED3OOO, Inc.


8. eClinicalWorks


9. TeleVox Software, Inc.


10. Orion Health


11. Navicure, Inc.


12. Medical Present Value, Inc. (MPV)


13. Nightingale Informatix Corporation


14. TSI Healthcare, Inc.


15. Pulse Systems, Inc.


16. Anodyne Health




18. Benchmark Systems


19. Raintree Systems, Inc.


20. eCast Corporation


Examples include:

  • McKesson, which acquired Practice Partners and also offers Practice Point Plus.

  • Siemens, which partners with NextGen for an EMR and offers its own Signature PMS.

  • GE, which acquired Logician from MedicaLogic, a leading and extremely robust EMR.

  • Meditech, which owns a controlling interest in LSS (Lake Superior Systems).

To be fair, however, only one vendor has ever gone the other way: starting with physician practice PMS/EMR and then developing a fully integrated hospital EMR to boot. Can you guess who has achieved this Epic feat? - V.C., B.A.

Healthcare Informatics 2009 June;26(6):16-18